00310173030 — Benralizumab 30 Mg/ml Sc Sosy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BENRALIZUMAB 30 MG/ML SC SOSY (NDC 00310173030) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00310173030?code_type=NDC
MLA (9th ed.)
“BENRALIZUMAB 30 MG/ML SC SOSY (NDC 00310173030) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00310173030?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“BENRALIZUMAB 30 MG/ML SC SOSY (NDC 00310173030) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00310173030?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$8,846 (25th–75th percentile) across 9 hospitals · 35 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00310173030 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MEDICARE ADV. | $6.09 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $6.09 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $6.15 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $6.70 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $6.70 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $6.82 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $6.93 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $6.93 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $7.00 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $7.00 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $7.00 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $7.00 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $7.00 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $7.56 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $7.62 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $7.62 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $7.64 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $7.76 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $7.76 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $7.97 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $7.97 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $8.32 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $8.47 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $8.69 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $10.50 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $10.50 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $14.07 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $14.07 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $14.70 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | EPO | $14.70 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $14.70 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $14.70 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $14.70 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $16.80 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $16.80 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | SAMARITAN | SAMARITAN CHOICE | $16.80 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $16.80 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $16.80 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $16.80 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | REGENCE | ALL PRODUCTS | $17.68 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $17.68 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $17.85 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $17.85 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $17.85 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $17.85 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $18.88 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $18.88 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $18.88 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $18.88 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $19.74 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $19.95 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HEALTHNET | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $20.37 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $20.48 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $20.48 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HUMANA | ALL PRODUCTS | $20.48 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $20.48 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $20.48 | $21.00 | $16.80 | 2026-01-31 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $4,369.54 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $5,110.58 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $5,110.58 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $5,393.76 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $5,393.76 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | IOWA TOTAL CARE | ALL PRODUCTS | $5,506.13 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | IOWA TOTAL CARE | ALL PRODUCTS | $5,506.13 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $5,609.66 | $22,803.50 | $8,209.26 | 2026-04-01 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | Cofinity Group Health | New Business All Products | $6,251.94 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLPOINT (AMERIGROUP) | MANAGED MEDICAID | $6,292.72 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLPOINT (AMERIGROUP) | MANAGED MEDICAID | $6,292.72 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | HUMANA | HMO | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AMERICAN HEALTH PLAN OF IOWA | MEDICARE ADV | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | MEDICARE ADV | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | MEDICARE ADV | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | HUMANA | HMO | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | HUMANA | PPO | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AMERICAN HEALTH PLAN OF IOWA | MEDICARE ADV | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | HUMANA | PPO | $6,405.09 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | MOLINA | MANAGED MEDICAID | $6,481.50 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | MOLINA | MANAGED MEDICAID | $6,481.50 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $6,742.20 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $6,742.20 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | IMMUGRUN | ALL PRODUCTS | $7,079.31 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | IMMUGRUN | ALL PRODUCTS | $7,079.31 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | PLAIN CHURCH | ALL PRODUCTS | $7,304.05 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | BRIGHTON AMISH CHURCH | ALL PRODUCTS | $7,304.05 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | PLAIN CHURCH | ALL PRODUCTS | $7,304.05 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | BRIGHTON AMISH CHURCH | ALL PRODUCTS | $7,304.05 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | ELAP | INNOVAIRE | $7,528.79 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | ELAP | INNOVAIRE | $7,528.79 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | AETNA | New Business Discount | $7,529.58 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $8,517.63 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | MIDLANDS CHOICE | PREMIER | $8,596.31 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | MIDLANDS CHOICE | MEDICARE ADV | $8,596.31 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | MIDLANDS CHOICE | MEDICARE ADV | $8,596.31 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | MIDLANDS CHOICE | PREMIER | $8,596.31 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Cofinity Group Health | New Business All Products | $8,653.91 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Fully Insured | $8,846.41 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Commercial HMO | $8,972.47 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $8,972.47 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | 6 DEGREE | ALL PRODUCTS | $8,989.60 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | 6 DEGREE | ALL PRODUCTS | $8,989.60 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Priority Health | HMO/PPO | $9,139.41 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | AETNA | New Business Discount | $9,182.00 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | MIDLANDS CHOICE | ALL PRODUCTS | $9,551.45 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER BothFacility | MIDLANDS CHOICE | ALL PRODUCTS | $9,551.45 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER InpatientFacility | MIDLANDS CHOICE | ALL PRODUCTS | $10,113.30 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER InpatientFacility | MIDLANDS CHOICE | ALL PRODUCTS | $10,113.30 | $11,237.00 | — | 2025-06-04 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $10,698.14 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $10,811.44 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | MULTIPLAN, INC. | Complementary Network | $11,243.27 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $11,299.36 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | Devoted Health | All Products | $11,401.75 | $22,803.50 | $8,209.26 | 2026-04-01 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $11,898.57 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $11,898.57 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $12,052.66 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $12,606.09 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Commercial Plans | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Open Choice Ppo | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Choice Pos Ii | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Select | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Managed Choice Pos | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Elect Choice | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | National Advantage | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Qpos | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Hmo | $12,942.91 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Pos | $13,353.80 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Ppo | $13,353.80 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Hmo | $13,353.80 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | University of Michigan | ALL PRODUCTS | $13,628.20 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Priority Cigna | ALL PRODUCTS | $13,679.31 | $17,035.25 | — | 2025-06-28 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $15,065.82 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Multiplan Commercial Plans | $15,408.23 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Emergis | $15,408.23 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Integrated Health Plan Commercial Plans | $15,750.63 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Three Rivers Provider Network Trpn | All Plans | $15,750.63 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Viant | $15,836.23 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Great West Healthcare | $15,921.83 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Commercial Plans | $16,384.08 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Connecticut Life | $16,384.08 | $17,120.25 | $17,120.25 | 2026-07-15 | MRF ↗ |
| RUSSELL MEDICAL CENTER BothFacility | Aetna | All Products | $19,382.98 | $22,803.50 | $8,209.26 | 2026-04-01 | MRF ↗ |